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Bladder Botox injection (M4714)

  • Length of surgery:

    30-60 min

  • Anaesthetic:

    Local (LA) or General Anaesthetic (GA)

  • Hospital stay :

    Performed as a day case procedure under (GA) or in an outpatient setting with (LA)

  • Time off work :

    none

  • Time off exercise:

    none

  • Time to fully settle :

    The effect of bladder Botox typically begins within 3 to 7 days after the injection, with most patients noticing a significant improvement in symptoms by 2 weeks. Maximum benefit is usually reached around that time. If there’s no response after 2–3 weeks, it may indicate the need for reassessment.

  • Post-op care:

    You may experience mild stinging or increased urgency during urination for 24–48 hours after the procedure. Drinking plenty of fluids can help flush the bladder and reduce discomfort. It’s normal to see a small amount of blood in the urine for a day or two. In rare cases, Botox may cause difficulty emptying the bladder, which may require temporary self-catheterisation. A follow-up plan will be discussed, and patients are advised to contact the clinic if they experience fever, pain, or inability to pass urine.

Bladder Botox Injections involve the cystoscopic injection of botulinum toxin Type A into the detrusor muscle to reduce involuntary bladder contractions.

This treatment is primarily indicated for patients with neurogenic detrusor overactivity—such as those with spinal cord injury or multiple sclerosis—or for those with refractory overactive bladder (OAB) symptoms including urgency, frequency, and urge incontinence, despite conservative or pharmacological therapy.

The procedure is typically carried out as a day case under local anaesthesia with sedation or general anaesthetic. Clinical benefit generally lasts 6–9 months, and repeat injections may be necessary for sustained symptom control.

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